| NPI | 1063052256 |
|---|---|
| Doing Business As | ABUNDANT DENTAL CARE IN HOLLADAY |
| Entity Type | Organization |
| Authorized Contact | TRACIE SULLIVAN Accounts Receivable, Director 801-849-1045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-06-29 |